02.01.2022 - By Zack Olson, MD and Michael Estephan, MD
You are working a shift at Clerkship General Hospital when you go see your next patient, a 70 year old male presenting with chest pain.
Initial Vitals
* Temp 98.7* HR 140* RR 20* BP 125/85* O2 99%
Critical Actions
* Obtain EKG* Treat AFib RVR via rate control (and not cardioversion)* Diagnose Acute Arterial Occlusion* Treat with Heparin* Consult Vascular Surgery for further management (possible thrombectomy, bypass, etc)
Further Reading:
EMDocs – Acute Limb Ischemia
EMDocs – Systematic Approach to the Peripheral Vascular Exam